Mario Antonio Souza, PSY.D.
NPI #1386083012 in Patton, California
Provider Information
- NPI Number
- 1386083012
- Entity Type
- Individual
- Name
- Mario Antonio Souza, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Forensic
- Credential
- PSY.D.
- Enumeration Date
- Jun 15, 2013
- Last Updated
- Mar 18, 2024
Practice Location
- Address
- 3102 E HIGHLAND AVE
- City
- Patton
- State
- California
- ZIP Code
- 92369-7813
- Phone
- (909) 425-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychologist - Forensic — Forensic |
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